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Homestead_Henico
,• INDIANA SALES DISCLOSURE:FORM SDI:ID SDO II) 1795111 Page 2- D.PREPARER , Samantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway _ Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti @mw.twcbc.com City.State,Gold ZIP Code Telephone Number P?mod E.SELLER(S)/GRANTOR(S) Estate of Donnabel Whitehouse ' Seller I-Name as appears on runt era ate document Seller?-Name as appears on conveyance document 1172 N.Old US Hwy 41 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". A_--- a _an-- 1r 2,1 ) .S,gnam/ al-Seiler Signature of Seller 3-4.y a/„'1Lr Jfe✓enc Pent, Reg p,......4,---,,,,,- <N-nrrr'w,.an,nn• Pr-.rr V.-u.nl 41r.'r is-+Orrr n.trpr R+',l^ R-4NTF-F-(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY fl Helen F Henic acme ac appears on cans-el-ante document Buyer?.Nome uc appears on conveyance document 770 S. 150 E Address(Number and Street) Address(Nmber and Street) Princeton.IN 47670- THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FUR CERTAIN DEDUCTIONS FOR THIS PROPERTY, IDENTIFY ALI.OF THOSE THAI'APPLY, YES NO CONDITION YES NO CONDITION© n 1,Will this property be the buyer's primary © ❑ 3. Ilomeste��Li �-{ ,residence? Provide complete address of primary ❑ ❑ 4,Solar Energy Heating/CootED residence,including county: ❑ 1172 N OLD US HWY 41 S.Wind Power Device AUG 2 2 2014 Address(Number and street) ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ in 7.Geothermal Energy Hea ' g/Cool 1g vice Coy.State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8. Is this property ra Irppesid eriy? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like Cd ,q1�44'aQ41'Fgyle?71�IdITN1H complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) Add,ess(4umberand Street) or'/-O/-/ea-co/. 7 57- 0d 7 city,State ZIP Code County Primary property owner contact name E-mail Y---